Individual provider Active NPI

Victoria Nicole Balducci, PT

  • Physical Therapist
  • Mechanicsville, VA
National Provider Identifier
1457924110
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214729 Issued in VA
Practice address
8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Phone
(804) 569-1787
Fax
(804) 569-9787
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214729 VA Primary

Addresses

Primary practice location

8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815

Mailing address

8201 Atlee Rd Ste D
Mechanicsville, VA 23116-1815
Phone (804) 569-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211012000383 VA Practitioner - Physical Therapist in Private Practice 8820496557 Reassigns benefits to 1 organization
I20230710003202 SC Practitioner - Physical Therapist in Private Practice 8820496557 Reassigns benefits to 1 organization
I20240515003456 DC Practitioner - Physical Therapist in Private Practice 8820496557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

3925 Downs Dr
Chantilly, VA 20151-3308
Phone (703) 810-3992

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214729VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince May 29, 2023 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Orthosc, LLC CurrentSince May 29, 2023 Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385

1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: victoria.balducci.1@17161.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1457924110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD STE D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-569-1787",
            "fax_number": "804-569-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ATLEE RD STE D",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161815",
            "telephone_number": "804-569-1787",
            "fax_number": "804-569-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDUCCI",
        "first_name": "VICTORIA",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.